The impact of a needs-based educational programme on General Practitioners' confidence and skill in managing common musculoskeletal problems

Haq, M.I.;
(2009)
The impact of a needs-based educational programme on General Practitioners' confidence and skill in managing common musculoskeletal problems.
Doctoral thesis , UCL (University College London).

Abstract

Disorders of the musculoskeletal (MSK) system are prevalent in the UK. They are a significant cause of pain, disability and health and social care resource utilisation. Most patients with MSK disorders are seen and treated by General Practitioners (GPs). MSK disorders form up to 20% of GP consultations and the majority are formed of a small number of conditions such as back, neck, and knee pain. Despite the prevalence of these conditions, there is evidence that management of affected patients is suboptimal.
This thesis investigated the possibility and feasibility of improving GP delivery of care to patients with MSK problems using an evidence-based educational intervention. The study population was a cohort of GPs from Camden and Islington Primary Care Trusts. The first phase of the project was a needs assessment case study of prior training and CME experience in MSK disorders using questionnaires and face-to-face interviews. The second phase used these results to develop, deliver and evaluate an MSK training course.
The principal findings from the needs assessment were that formal postgraduate training in MSK disorders was rare. CME events were mainly in the form of lectures. GPs rated the need for knowledge of MSK disorders in primary care as high. The MSK training course was based on the needs assessment, taking place in small groups, using trained patients (Patient Partners) and clinical cases. GPs evaluated the course as highly relevant to their needs, leading to increased confidence and skills. However, GPs estimated that confidence would reduce after 6 months without further training. It is feasible to deliver a research informed training course for GPs on MSK disorders. Further work needs to be done to find effective strategies to produce prolonged changes in behaviour and practice that deliver effective patient care.

Type:

Thesis
(Doctoral)

Title:

The impact of a needs-based educational programme on General Practitioners' confidence and skill in managing common musculoskeletal problems